Update 2011 Mary Reinle Begley - HCCA Official Site

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Office of Inspector General Update 2011 Mary Reinle Begley Inspector General

Transcript of Update 2011 Mary Reinle Begley - HCCA Official Site

Office of Inspector General

Update 2011

Mary Reinle BegleyInspector General

OIG Update 2011

Partner with CMS

Cabinet for Health and Family Services

OIG Update 2011

Cabinet for Health and Family Services

• Since December 2010, “Long Term Care Inspection Findings”• May download Statements of Deficiencies/Plans of Correction that have been issued since July 2010• A result of Section 6103 of the Affordable Care Act

OIG Update 2011

Cabinet for Health and Family Services

OIG Update 2011

Cabinet for Health and Family Services

OIG Update 2011

Cabinet for Health and Family Services

• National Background Check program• 3 million dollars from CMS• 1 million dollar state match• Long-term Care facility focus• Go-live date planned – July 2, 2012• 3 year project - May 20, 2011

N B CNational Background Check

NBC

KSP

KY’s

Senior Citizens

and Vulnerable

Adults

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I

G

OIG Update 2011

Cabinet for Health and Family Services

• Independent Informal Dispute Resolution

• No longer completed by OIG• Outside agency to oversee

OIG Update 2011

Cabinet for Health and Family Services

• Long-term care surveys will become computerized • Quality Indicator Survey (QIS)

• May lengthen surveys initially • To begin 2012

OIG Update 2011-New Regulations

Cabinet for Health and Family Services

• Level II PRTF• Created from HB 231 from the 2010 legislative session.• None licensed at this time• Children with severe psychiatric disorders • Currently treated out-of-state

OIG Update 2011-New Regulations

• Limited Services Clinic • Located primarily in a retail host

locations and staffed mostly by advanced practice registered nurses for the treatment of minor illnesses and common ailments

• 17 licensed with 20 waiting

Cabinet for Health and Family Services

OIG Update 2011

Cabinet for Health and Family Services

• Carbon Monoxide Detector Grant project• Long-term care facilities get detector

free• Collaborate closely with Department of

Public Health regarding Disasters• Now a part of the notification• Participated collaboratively on the

flooding in Western Kentucky this past spring

OIG Update 2011

• HHS Secretary Kathleen Sebelius & CMS Administrator Donald Berwick announced

Partnership for Patients: Better Care, Lower Costs

• Promotes quality, safety, affordabilityCabinet for Health and Family Services

OIG Update 2011

• By the end of 2013• Preventable hospital-acquired

conditions, including hospital-associated infections, will be reduced from the 2010 level by 40% and preventable readmissions will be reduced by 20%

Cabinet for Health and Family Services

OIG Update 2011

• Focus on assessment:• Infection Control• Quality assessment and performance

improvement• Discharge planning

• 2012 - States will pre-test and pilot surveys

Cabinet for Health and Family Services

OIG Update 2011

eKASPER

Cabinet for Health and Family Services

OIG Update 2011

Mary Reinle BegleyInspector General

275 East Main StreetFrankfort, Kentucky 40621

Cell: (502) 382-7304Phone: (502) 564-2888 ext. 4282

[email protected]

Cabinet for Health and Family Services

OIG Update 2011

Cabinet for Health and Family Services